BLAKE A BULLOCK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149024395

License Status

ACTIVE

Business

First Name

BLAKE

Middle

Last Name

BULLOCK

Business Name

BLAKE A BULLOCK

Original Issue Date

03/16/2022

Effective Date

09/23/2025

Expiration Date

11/30/2027

City

CHICAGO

State

Zip

60626

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/23/2025